Individual provider Active NPI

Karen Marie Whittaker-Murphy, OTR/L, CEAS II

  • Occupational Therapist
  • Middlesboro, KY
National Provider Identifier
1659804813
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
134379 Issued in KY
Practice address
1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone
(606) 302-5474
Fax
(606) 302-5418
NPI assigned
Apr 5, 2017
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 134379 KY Primary
Ergonomics Occupational Therapist 225XE1200X 134379 KY
Pediatric Occupational Therapist 225XP0200X 134379 KY
Physical Rehabilitation Occupational Therapist 225XP0019X 134379 KY

Addresses

Primary practice location

1510 Cumberland Ave
Middlesboro, KY 40965-1223

Mailing address

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 302-5474

Other practice location 1

2150 Lexington Rd Ste G
Richmond, KY 40475-7924
Phone (859) 333-8147

Other names 1

  • Karen Marie Whittaker-Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210201000795 KY Practitioner - Occupational Therapist in Private Practice 5890109946 Reassigns benefits to 1 organization
I20230413001063 TN Practitioner - Occupational Therapist in Private Practice 5890109946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Therapy LLCGroup PAC ID 2062832629, 12 clinicians

Practice addresses (Care Compare)

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 302-5474

430 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 441-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134379KYMDErgonomics Occupational Therapist
3079TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Therapy, LLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Family Choice Home Care, LLC Multi-Specialty PastSince May 16, 2011 Accepting new patients

Locations

209 Knox St
Barbourville, KY 40906
Phone (606) 546-6907

1510 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 302-5474

430 S Broad St
New Tazewell, TN 37825
Phone (423) 441-8848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1659804813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651223",
            "telephone_number": "606-302-5474",
            "fax_number": "606-302-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651223",
            "telephone_number": "606-302-5474",
            "fax_number": "606-302-5418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Lexington Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404757924",
            "country_code": "US",
            "telephone_number": "859-333-8147",
            "fax_number": "877-665-7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER-MURPHY",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "OTR/L, CEAS II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "134379",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "KY",
            "license": "134379",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "134379",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KY",
            "license": "134379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WHITTAKER-CLARK",
            "middle_name": "MARIE",
            "credential": "OTR/L, CEAS II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.